Page 87 - Benefits Summary 2018-2019
P. 87

Reliance Standard Voluntary Plans


                        Voluntary Group Term Life Insurance


                                           Premium Table



        Plan Holder:  Hercules Real Estate Services


        Scheduled Benefit:  Each eligible employee may elect for himself and/or his eligible spouse an amount of insurance shown in the
        Table below.

        For employees age 75 and older:  Benefit amounts are reduced according to the age-based reduction chart shown in the
        Voluntary Term Life brochure.  When selecting an amount of insurance, you must select a pre-age 75 benefit amount.

        Weekly Premiums
        Employee/Spouse Premiums:
              To find you and your spouse's premium -
              § Determine your age band:  Your age = your age at your last birthday.
              § Select a benefit amount (employees age 75 and older: see above comment - do not select a calculated reduced amount).
              § Spouse premium:  Repeat the steps above for your spouse at his/her age at his/her last birthday.  Your spouse must be under
               age 70 to be enrolled.
                            Employee and spouse rates change as insured moves from one age bracket to the next.


                                                Rates are subject to change.

                                              Approximate Bi-Weekly Premiums
        Benefit     Age    Age     Age     Age     Age     Age     Age     Age     Age      Age      Age      Age
        Amount      - 19  20 - 24  25 - 29  30 - 34  35 - 39  40 - 44  45 - 49  50 - 54  55 - 59  60 - 64   65 - 69   70+

        $10,000    $0.17  $0.17   $0.17   $0.17   $0.25    $0.40   $0.69   $1.15   $1.95   $2.38    $3.55     $6.79
        $20,000    $0.34  $0.34   $0.34   $0.34   $0.50    $0.80   $1.38   $2.30   $3.90   $4.76    $7.11    $13.58
        $30,000    $0.51  $0.51   $0.51   $0.51   $0.75    $1.20   $2.08   $3.45   $5.86   $7.14    $10.66   $20.37
        $40,000    $0.68  $0.68   $0.68   $0.68   $1.00    $1.61   $2.77   $4.60   $7.81   $9.53    $14.22   $27.16
        $50,000    $0.85  $0.85   $0.85   $0.85   $1.25    $2.01   $3.46   $5.75   $9.76   $11.91   $17.77   $33.95
        $60,000    $1.02  $1.02   $1.02   $1.02   $1.50    $2.41   $4.15   $6.90  $11.71   $14.29   $21.32   $40.74
        $70,000    $1.20  $1.20   $1.20   $1.20   $1.74    $2.81   $4.85   $8.04  $13.67   $16.67   $24.88   $47.52
        $80,000    $1.37  $1.37   $1.37   $1.37   $1.99    $3.21   $5.54   $9.19  $15.62   $19.05   $28.43   $54.31
        $90,000    $1.54  $1.54   $1.54   $1.54   $2.24    $3.61   $6.23  $10.34 $17.57    $21.43   $31.98   $61.10
        $100,000   $1.71  $1.71   $1.71   $1.71   $2.49    $4.02   $6.92  $11.49 $19.52    $23.82   $35.54   $67.89
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